DR. HORMOZ MANSOURI (NPI# 1417958000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958000 |
| Entity Type | Individual |
| Full Name | DR. HORMOZ MANSOURI |
| Credential | M.D |
| Practice Address |
175 Jericho Tpke Suite 201 Syosset NY 11791-4532 |
| Practice Telephone | 5166824800 |
| Practice Fax Number | 5166829024 |
| Mailing Telephone | 5166824800 |
| Mailing Fax Number | 5166829024 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
111418-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
175 JERICHO TPKE SUITE 201 |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472130 | Howard Heimowitz | Radiology | 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 | 2005-07-27 |
| 1497247530 | 50 Oceana Pharmacy Corp. | Durable Medical Equipment & Medical Supplies | 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 | 2018-06-05 |
| 1467823443 | Medical Office of Fawzy Wasfy Salama Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 | 2015-10-15 |
| 1164806758 | Dr Greg Davies & Dr Sharone Stern | Podiatrist | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2015-07-14 |
| 1619367844 | Rehabilitation Associate of Li Physical Medicine Pllc | Physical Medicine & Rehabilitation | 175 Jericho Tpke, Syosset, NY 11791-4532 | 2015-01-26 |
| 1265821953 | Positive Change Psychiatry Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 | 2015-01-18 |
| 1710393459 | Nicole R Esposito | Speech-Language Pathologist | 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 | 2014-07-02 |
| 1194135483 | Diabetes and Endocrine Care of Long Island Pllc | Internal Medicine | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2014-05-07 |
| 1679918957 | Elliott Jay Dombroff | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-05-01 |
| 1588008346 | Celestino Marques Dossantos | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518458751 | K & H Medical Pllc | Surgery | 6851 Jericho Tpke Ste 150, Syosset, NY 11791 | 2018-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1073128971 | New York Vascular Group, Pllc | Surgery | 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 | 2020-09-09 |
| 1578190179 | Camilo Jose Martinez | Surgery | 23 S Howell Ave Ste H, Centereach, NY 11720-4445 | 2020-03-24 |
| 1407483399 | Interventional Medicine | Surgery | 1122a Coney Island Ave, Brooklyn, NY 11230-2307 | 2020-03-23 |
| 1487287975 | Syracuse Professional Medical Services of New York LLC | Surgery | 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 | 2020-02-13 |
| 1457983181 | Syracuse Medical of New York LLC | Surgery | 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 | 2020-02-11 |
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1003393299 | Bushwick Professional Medical Services of New York LLC | Surgery | 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 | 2018-07-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.